Clinical and Population Health Analyst

Highmark Health•Carolina, PA
•Hybrid

About The Position

This job creates data-driven insights which identify actionable opportunities aligned to the Quadruple Aim of Healthcare: lower per capita health care costs, improved outcomes from and quality of care received, and optimal member/patient and provider experiences with care delivery. The incumbent serves as a consultative subject matter and technical expert for internal and external customers, leveraging advanced analytical expertise and experience to aggregate, analyze and understand patterns in varied and complex data; and articulates analytic findings, business implications, and recommendations to realize identified opportunities.

Requirements

  • 2 years of Leading the design, execution and dissemination of clinical and population health reporting, analyses and studies of progressive scope and complexity
  • 2 years of Coding languages, analytical software, systems, tools and processes using claims, clinical, enrollment and provider data
  • 1 year of Project leadership in a complex, matrixed environment (payer and/or provider preferred)
  • 1 year of Providing analytical consultation to clinical, administrative, operational and financial stakeholders
  • Bachelor's degree in Public Health, Nursing, Economics, Health Sciences, Informatics, Biostatistics, Statistics, Epidemiology, Pharmacy or related field OR 6 years of relevant work experience in lieu of a Bachelor's Degree

Nice To Haves

  • Master's degree in Medicine, Public Health, Nursing, Economics, Health Sciences, Informatics, Biostatistics, Statistics, Epidemiology, Pharmacy or related field

Responsibilities

  • Supports the design, development, execution, dissemination and interpretation of clinical and population health analyses, metrics and reports using clinical, member, financial and administrative data to identify, develop and/or monitor actionable opportunities for improving health and healthcare outcomes and clinical quality and costs of care, efficiently and effectively managing projects to successful completion.
  • Establishes strong, collaborative and effective relationships and communication with internal and external clinical, administrative, operational, financial and technical stakeholders to ensure analytics are actionable and aligned with organizational strategic priorities, needs, plans and resources.
  • Serves as a strategic business partner to internal and external stakeholders as demonstrated by providing thought leadership and subject matter expertise.
  • Supports Senior and Lead level analysts with consultative, technical, subject matter and business expertise mentorship to colleagues across the enterprise.
  • Other duties as assigned or requested.

Benefits

  • Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
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